ADHD in adults is associated with an increased risk of cardiovascular disease

  • A large population study conducted in Sweden recently showed that individuals with attention deficit hyperactivity disorder (ADHD) are at twice the risk of developing all types of cardiovascular diseases than those without ADHD.
  • Among adults with ADHD, men, young adults, and people with psychiatric conditions have shown an increased risk of cardiovascular disease.
  • The study emphasizes the importance of monitoring individuals with ADHD for cardiovascular risk and developing targeted strategies to reduce cardiovascular risk..

There is increasing evidence to suggest a link between mental health disorders and cardiovascular disease (CVD risk). However, there is limited evidence to suggest a similar association between Attention Deficit Hyperactivity Disorder (ADHD) and cardiovascular risks.

A recent national study was published in world of psychiatry shows that individuals with ADHD were more likely to develop cardiovascular disease than those without ADHD, even after accounting for cardiovascular risk factors.

Dr. Carl LavieHe, a cardiologist at the University of Queensland Medical School in Australia, was not involved in the study Medical news today:

“The study is huge with a long follow-up and even looking at potential errors in maintaining such a large data bank, the study certainly indicates that ADHD is associated with a potentially doubling of CVD risk. Given that this condition[ADHD}appearstobeincreasingalongwithearlydruguseandalackofphysicalactivityThesedatacertainlyraiseredflagsregardingthelong-termCVDriskofthesepatients”[ADHD}appearstobeincreasingalongwithearlydruguseandphysicalinactivitythesedatacertainlyraiseredflagsregardinglong-termCVDrisksinthispatientpopulation”[ADHD}يبدوأنهاتتزايد،جنبًاإلىجنبمعتعاطيالمخدراتفيوقتمبكروقلةالنشاطالبدني،فإنهذهالبياناتتثيربالتأكيدأعلامًاحمراءفيمايتعلقبمخاطرالأمراضالقلبيةالوعائيةعلىالمدىالطويللدىهؤلاءالمرضى”[ADHD}appearstobeincreasingalongwithearlydruguseandphysicalinactivitythesedatacertainlyraiseredflagsregardinglong-termCVDrisksinthispatientpopulation”

Attention Deficit Hyperactivity Disorder (ADHD) is a mental health disorder characterized by attention deficit hyperactivity disorder and increased impulsivity. As one of the most common mental health conditions in children, ADHD also affects adults. The prevalence of attention deficit hyperactivity disorder (ADHD) in children around the world 2.2% And the 2.5% in adults.

Individuals with ADHD often have co-occurring psychological conditions, such as anxiety and depression, and physical conditions, such as obesity.

Previous studies have shown that various mental health conditions, such as AutismAnd the anxiety disordersAnd the depressionassociated with an increased risk of cardiovascular disease. However, there is limited data suggesting an association between ADHD and an increased risk of cardiovascular disease.

There is also a lack of data on whether individuals with ADHD are at increased risk of developing certain cardiovascular diseases, including stroke, cardiac arrest, arrhythmia, atherosclerosis, and heart failure. Preventive and therapeutic strategies for different types of cardiovascular disease can vary, making it imperative to understand the relationship between ADHD and various cardiovascular diseases.

Furthermore, the extent to which cardiovascular risk factors in individuals with ADHD influence the risk of cardiovascular disease in these individuals is not fully understood. Some of the risk factors for cardiovascular disease include:

  • education level
  • A family history of cardiovascular disease
  • sleep problems
  • obesity
  • diabetic
  • smoking

Due to the prevalence of comorbid psychiatric conditions, individuals with ADHD simultaneously receive medications for other mental health conditions.

Previous studies She suggests that medications used for ADHD and other mental health conditions such as anxiety and depression can increase the risk of cardiovascular disease. Thus, the use of these medications or the presence of mental health conditions can increase the risk of cardiovascular disease in individuals with ADHD.

Characterizing the effect of cardiovascular risk factors can help identify individuals with ADHD who are at increased risk for early cardiovascular disease.

In the current study, the researchers used data from more than 5.4 million Swedish adults born between 1941 and 1983 without a previous diagnosis of cardiovascular disease.

The researchers used Swedish national registries to identify individuals in the study population with a diagnosis of ADHD. They also obtained data on other mental health conditions and cardiovascular risk factors, including diabetes, obesity, sleep problems, and smoking from these records.

Using national health care registries, researchers tracked the incidence of cardiovascular disease in the study population over a 13-year follow-up period, from January 2001 to December 2013. The researchers found that the proportion of individuals who developed cardiovascular disease was higher in individuals with ADHD. and attention deficit hyperactivity disorder compared to their non-ADHD counterparts.

After controlling for age and gender, the analysis showed that individuals with ADHD were more likely to have cardiovascular disease than those without ADHD.

The researchers found that cardiovascular risk factors such as excessive smoking, obesity, diabetes, sleep problems, lower educational attainment, and psychiatric conditions were more prevalent in individuals with ADHD. However, controlling for these cardiovascular risk factors slightly weakened the association between ADHD and cardiovascular disease risk.

Furthermore, excluding individuals with ADHD who were using medications for ADHD or other mental health conditions also did not affect the strength of the association between ADHD and cardiovascular disease risk.

These results indicate that ADHD, regardless of CaliforniaVascular risk factors such as obesity, smoking, and psychiatric conditions can be a risk factor for cardiovascular disease.

The study also found that ADHD is associated with an increased risk of all types of cardiovascular disease. The strongest association was observed between ADHD, cardiac arrest, hemorrhagic stroke and atherosclerosis.

The severity of the primary ADHD symptoms tends to be discount With age, the risk of cardiovascular disease increases with age. Furthermore, ADHD and cardiovascular disease are more prevalent among males than among females.

Hence, the researchers categorized the study population by age and gender to assess the effect of these factors on cardiovascular disease risk in individuals with ADHD. They found that the association between ADHD and cardiovascular risk was stronger in males than in females and in younger individuals than in their older counterparts.

In a separate analysis, the researchers found that individuals with ADHD and comorbid psychiatric conditions, such as eating disorders and substance use disorders, were also more likely to have cardiovascular disease than individuals with only ADHD.

Study results suggest that clinicians should monitor the cardiovascular health of individuals with ADHD early on to facilitate implementation of strategies to reduce cardiovascular risk. Among individuals with ADHD, younger adults, males with ADHD and those with particularly comorbid psychiatric conditions may be at higher risk of developing cardiovascular disease.

Co-author of the study Henrik Larsson, said Ph.D., professor of epidemiology at Örebro University, in a press release:

“Clinicians need to carefully study joint psychiatric morbidity and lifestyle factors to help reduce CVD risk in individuals with ADHD, but we also need more research to explore plausible biological mechanisms, such as shared genetic components of ADHD and ADHD. heart and blood vessels.”

The study authors acknowledge that the new research has some limitations. Due to its observational design, this study does not establish a causal role for ADHD in the increased risk of cardiovascular disease.

The authors used national registries to identify individuals with ADHD and cardiovascular disease, which may be responsible only for individuals with severe ADHD symptoms or cardiovascular disease. This may have underestimated the number of individuals with less severe symptoms of ADHD or cardiovascular disease.

Conversely, individuals with ADHD are more likely to have health care facilities and may be more likely to develop cardiovascular disease.

The mean age of the study population was approximately 50 years. Thus, it is likely that the study looked at individuals with early cardiovascular disease, who were diagnosed at or before the age of 60. As a result, additional studies involving the elderly are needed to examine the relationship between ADHD and late-onset cardiovascular disease.

In addition, data on some cardiovascular risk factors were either incomplete or missing. Dr. Lavie noted, “Details regarding medications and dosages are unknown. There were also no robust data on physical activity, sedentary behavior or fitness, as well as alcohol and drug use.”